Trump Administration Rolls Out Scorecards for Medicaid

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The Trump administration is rolling out a scorecard that will enable administrators to evaluate individual states on key health metrics for Medicaid and the Children's Health Insurance Program.

Seema Verma, administrator of the Centers for Medicare and Medicaid Services, said the scorecards are a “conversation starter” that will help states explore varying outcomes for services provided, ranging from postpartum care to immunization levels.

The Washington Post said the scorecards are “part of a fundamental recalibration of the power relationship in Medicaid between the federal government and states,” in which states are being given more flexibility to institute their own rules – including, for example, new work requirements for Medicaid recipients – while being held accountable for their performance, though the what exactly that accountability involves is still unclear.